The peritoneum is a protective membrane that surrounds the abdomen, or belly. It has two layers, and mesothelioma can develop on both. The parietal layer covers the abdominal cavity, while the visceral layer surrounds the stomach, liver and other organs of the abdomen. Together, the layers support the abdominal cavity as a whole and the organs within it.
Early symptoms of peritoneal mesothelioma can include abdominal pain or swelling, and diarrhea or constipation. Unfortunately, some patients don't experience any symptoms until tumors have spread. This scenario makes treating the disease hard and surviving it even harder.
You may not experience cancer symptoms for 20 to 50 years after your first exposure to asbestos. Once asbestos fibers reach the peritoneum and irritate the cells, the peritoneal lining starts to thicken. As the cancer develops, the buildup of excess fluid in the abdomen, known as ascites, may occur next. Over time, tumors form and place pressure on the organs.
Although no definitive answer is available, cancer experts most commonly associate the cause of peritoneal mesothelioma with the following theories:
Swallowed asbestos fibers travel from the digestive system to the peritoneum.
Inhaled asbestos fibers reach the peritoneum through the lymphatic system, which produces and stores cells that fight disease.